HomeMy WebLinkAbout0029261-Plumbing (water heater) CITY OF OSHKOSH N° 29261
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG A SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 =S !/ N PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK g , w ti
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR j g et._
6-, BT / WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
r ✓
FEES: Valuation $ 3 5 "a-Q Q Permit Fee Paid $ /0 - O a Park Dedication $
ISSUED BY Date / Fnal /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0147 i A_A-.........---4-,-- a ‘-o-ft
U AGENT /OWNER DATE
ADDRESS / ( 0 -Z �� 02 33-0'0
TELEPHONE #